ERECTION ALL RISK (EAR) INSURANCE PROPOSAL FORM

    Name of Principal:

    Address of Principal:

    Name of Contractor:

    Address of Contractor:

    Any Sub-Contractor involved (Indicate with specialized area of involvement along with address)

    THE CONTRACT WORKS

    a) Full description of the Contract

    b) Contract Site Location

    THE INSURANCE





    SUM INSURED








    vi) Third Party Liability





    DECLARATION
    I/We the undersigned hereby declare that the above statements and particulars are true and complete and I/We declare and agree that this declaration and the answers given above shall be held to be promissory and shall be the basis of the contract between me/us and The Oriental Insurance Company Limited.